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Neurological picture
Bilateral internal carotid artery dissection due to elongated styloid processes and shaking dancing
  1. A Faivre1,
  2. Z Abdelfettah1,
  3. S Rodriguez2,
  4. F Nicoli1
  1. 1
    Soins Intensifs Neuro-Vasculaires, Pr F NICOLI, Hôpital la Timone, Marseille, France
  2. 2
    Service de Neuroradiologie, Pr N GIRARD, Hôpital la Timone, Marseille, France
  1. Correspondence to Dr A Faivre, Soins Intensifs Neuro-Vasculaires, Pr F NICOLI, Hôpital la Timone, 264 boulevard St-Pierre, 13385 Marseille cedex 05, France; anthonyfa@wanadoo.fr

https://doi.org/10.1136/jnnp.2008.159954

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    A 60-year-old patient is presented who developed a stroke related to a bilateral internal carotid artery dissection due to elongated styloid processes and intense jerky head movements during unwonted shaking dance. The association between elongated styloid process and cervicofacial pain is well known as Eagle’s syndrome but its association with stroke is exceptional. To our knowledge, this case is the first observation of bilateral carotid artery dissection related to elongated styloid processes and demonstrates that cervical CT angioscan is a very efficient non-invasive method of diagnosing this rare condition.

    Case report

    A previously healthy 60-year-old man, without vascular risk factors, presented with a sudden acute left hemiplegia after a 2 day history of right severe fronto-orbital headache following an intense shaking dance “like an invertebrate as his wife said”. Physical examination showed confusion, hemiplegia, hemiataxia and lateral hemianopia on the left side (NIHSS = 13). There was also a complete right …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.